NCT03918603

Brief Summary

Modification of mechanically ventilated lesions by an ultra-protective multimodal strategy compared to a protective strategy in patients with veno-venous ECMO for severe ARDS.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
38

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Jul 2019

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

April 12, 2019

Completed
5 days until next milestone

First Posted

Study publicly available on registry

April 17, 2019

Completed
3 months until next milestone

Study Start

First participant enrolled

July 3, 2019

Completed
1.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 23, 2021

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

June 23, 2021

Completed
Last Updated

July 20, 2023

Status Verified

July 1, 2023

Enrollment Period

1.8 years

First QC Date

April 12, 2019

Last Update Submit

July 19, 2023

Conditions

Outcome Measures

Primary Outcomes (1)

  • inflammation of biotrauma

    Interleukine dosage in pg/mL

    36months

Study Arms (2)

ultra-protective multimodal ventilation group

EXPERIMENTAL

Patient will be diposed on ventral decubitus: one session at least more than 12 hours between inclusion and H48

Other: ventral décubitus

protective ventilation group

NO INTERVENTION

Patient will received usual care

Interventions

Patient will have one session at least more than 12 hours between inclusion and H48 of ventral décubitus

ultra-protective multimodal ventilation group

Eligibility Criteria

Age18 Years - 100 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • severe ARDS with a PaO2 / FiO2 ratio ≤ 70 mmHg (for at least 2h) measured at PEEP\> 10 cmH2O and FiO2 = 1
  • OR a severe ARDS with a PaO2 / FiO2\> 70 ratio but \<100 mmHg with a plateau pressure\> 35 cmH2O and a pH \<7.20

You may not qualify if:

  • Patients with associated hemodynamic failure requiring veno-arterial ECMO
  • Impossibility of setting up or contraindication to the placement of an esophageal tube
  • Impossibility of realization of ventral decubitus
  • Patient to receive corticosteroids during the first 48 hours following venous venous ECMO.
  • Patients assisted by veno-venous ECMO for more than 24 hours.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Assistance Publique Hopitaux de Marseille

Marseille, 13354, France

Location

Related Publications (1)

  • Guervilly C, Fournier T, Chommeloux J, Arnaud L, Pinglis C, Baumstarck K, Boucekine M, Valera S, Sanz C, Adda M, Bobot M, Daviet F, Gragueb-Chatti I, Forel JM, Roch A, Hraiech S, Dignat-George F, Schmidt M, Lacroix R, Papazian L. Ultra-lung-protective ventilation and biotrauma in severe ARDS patients on veno-venous extracorporeal membrane oxygenation: a randomized controlled study. Crit Care. 2022 Dec 12;26(1):383. doi: 10.1186/s13054-022-04272-x.

MeSH Terms

Conditions

Respiratory Distress Syndrome

Condition Hierarchy (Ancestors)

Lung DiseasesRespiratory Tract DiseasesRespiration Disorders

Study Officials

  • Emilie GARRIDO

    Assistance Publique Hôpitaux de Marseille

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
OTHER
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 12, 2019

First Posted

April 17, 2019

Study Start

July 3, 2019

Primary Completion

April 23, 2021

Study Completion

June 23, 2021

Last Updated

July 20, 2023

Record last verified: 2023-07

Locations